Academic Journal

Analysis of uveal melanomas and paired constitutional DNA for exclusion of a BAP1-tumor predisposition syndrome

التفاصيل البيبلوغرافية
العنوان: Analysis of uveal melanomas and paired constitutional DNA for exclusion of a BAP1-tumor predisposition syndrome
المؤلفون: Abbassi, Yasaman Arjmand, Le Guin, Claudia, Bornfeld, Norbert, Bechrakis, Nikolaos E., Zeschnigk, Michael, Lohmann, Dietmar R.
المساهمون: Deutsche Krebshilfe, Universitätsklinikum Essen
المصدر: Familial Cancer ; volume 22, issue 2, page 193-202 ; ISSN 1389-9600 1573-7292
بيانات النشر: Springer Science and Business Media LLC
سنة النشر: 2022
الوصف: Uveal melanoma (UM) is a rare tumor originating from melanocytic cells in the eye. Familial aggregation of UM is rare and can occur as part of the tumor predisposition syndrome BAP1-TPDS. However, family history alone will only identify a subset of patients with BAP1-TPDS. In the present study, we used sequential testing of tumor and blood DNA from UM patients for differential diagnosis of BAP1-TPDS. The study group was an unselected prospective cohort of patients from whom UM tissue was available. First, chromosome 3 status in tumor DNA was determined in all 140 patients who consented to participate. As tumors with disomy 3 rarely show BAP1 alterations, sequence analysis of this gene was performed in the 72 tumors with monosomy 3 (M3) or partial M3 only. We identified oncogenic BAP1 alterations in 52 of these tumors (72%). Targeted sequencing of DNA from matched peripheral blood showed pathogenic variants in two patients (3.8%) thus proving BAP1-TPDS. Only one of these two patients also had a medical history suggestive of this syndrome. Conversely, in three patients known to have had additional tumors before diagnosis of UM, constitutional heterozygosity for a BAP 1 mutation was excluded. Altogether, in 50 patients we could exclude BAP1-TPDS with high diagnostic certainty. The results of our study support that genetic testing for BAP1-TPDS should be offered to all patients with UM. Moreover, as genetic information from the tumor can help exclude heritable risk, the strategy for analysis should include efforts to obtain tumor samples for testing.
نوع الوثيقة: article in journal/newspaper
اللغة: English
DOI: 10.1007/s10689-022-00310-3
DOI: 10.1007/s10689-022-00310-3.pdf
DOI: 10.1007/s10689-022-00310-3/fulltext.html
الاتاحة: http://dx.doi.org/10.1007/s10689-022-00310-3
https://link.springer.com/content/pdf/10.1007/s10689-022-00310-3.pdf
https://link.springer.com/article/10.1007/s10689-022-00310-3/fulltext.html
Rights: https://creativecommons.org/licenses/by/4.0 ; https://creativecommons.org/licenses/by/4.0
رقم الانضمام: edsbas.3B5E5DE3
قاعدة البيانات: BASE
الوصف
DOI:10.1007/s10689-022-00310-3